title: Discharge planning for residents of a long term care facility.
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D003266:Continuity of Patient Care; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009735:Nursing Homes; D010043:Outcome and Process Assessment, Health Care; D010351:Patient Discharge; D011795:Surveys and Questionnaires; D014922:Wisconsin